Individual
KENNYSHIA TAMIKO WEBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3420 N 14TH ST, SAINT LOUIS, MO 63107-3731
(618) 727-6363
Mailing address
4200 UNION BLVD # 160, SAINT LOUIS, MO 63115-1129
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/11/2022
Last updated
12/28/2022
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